The resources, templates, and tools on this page have been developed by the Pharmacists Clinic team. They are shared here and available at no cost to pharmacists and other healthcare providers.
Any clinical information contained in these documents is only as current as the date in the document footer. Each user is responsible for updating any clinical information in these documents based on current guidelines and best practices.
Communication Tools
- Patient Referral Form for Health Care Providers (DOCX, 30 KB)
- Doctor Consultation Letter Template (DOCX, 30 KB)
Useful Links
Patient Intake and Consent Forms
- Patient Intake Form Template (DOCX, 90 KB)
- Vaccine Administration Consent Form (DOCX, 520 KB)
Service Delivery Tools
- Comprehensive Medication Management (CMM) Service Model and Time Estimates (PDF, 240 KB)
- Documentation Template for Electronic Medical Record (DOCX, 480 KB)
- Vaccine Assessment Flowchart (DOCX, 80 KB)
Other Resources
- Quality Assurance Program Template (DOCX, 50 KB)
Outreach Resources
Bone Health Event
Bone Health_Participant Guide_2017 (DOCX, 50 KB)
Bone Health_Passport_2017 (DOCX, 20 KB)
Bone Health_Supply List_2017 (DOCX, 20 KB)
Bone Health_Station B_Images_2017 (PDF, 2.6 MB)
Bone Health_Station C_Bonezone calcium_2017 (PDF, 2.6 MB)
Bone Health_Station C_Healthlink Calcium Vit D_2017 (PDF, 160 KB)
Bone Health_Station D_Ca supplement summary_2017 (DOCX, 110 KB)
Bone Health_Station D_Chart men bmd_2017 (PDF, 80 KB)
Bone Health_Station D_Chart men bmi_2017 (PDF, 80 KB)
Bone Health_Station D_Chart women bmd_2017 (PDF, 80 KB)
Bone Health_Station D_Chart women bmi_2017 (PDF, 80 KB)
Bone Health_Station D_Patient Handouts_2017 (DOCX, 100 KB)
Bone Health_Station D_Practical Information_2017 (DOCX, 130 KB)
Lung Health Event
Lung Health_Participant Guide_2017
Lung Health_Passport_2017 (DOCX, 30 KB)
Lung Health_Supply List_2017 (DOCX, 20 KB)
Lung Health_Station B_Belly-breathing_2017 (JPG, 470 KB)
Lung Health_Station B_Breathing Basics_2017 (PDF, 400 KB)
Lung Health_Station B_OSA_2017 (PDF, 130 KB)
Lung Health_Station B_Respiratory System_2017 (JPG, 80 KB)
Lung Health_Station B_Smokers lung_2017 (PDF, 130 KB)
Lung Health_Station C_FEV1versusage_2017 (DOCX, 70 KB)
Lung Health_Station C_Peak Flow meter_2017 (PDF, 70 KB)
Lung Health_Station C_Smokers lung_2017 (PDF, 130 KB)
Lung Health_Station C_smoking timeline_2017 (DOCX, 310 KB)
Lung Health_Station D_Belly-breathing_2017 (JPG, 470 KB)
Lung Health_Station D_Healthy Breathing_2017 (PDF, 280 KB)
Lung Health_Station D_Patient Handouts_2017 (DOCX, 170 KB)
Lung Health_Station D_smoking timeline_2017 (DOCX, 310 KB)
Heart Health Event
Heart Health_Participant Guide_2017 (DOCX, 30 KB)
Heart Health_Passport_2017 (DOCX, 20 KB)
Heart Health_Supply List_2017 (DOCX, 20 KB)
Heart Health_Station C_Framingham_2017 (PDF, 16.4 MB)
Heart Health_Station C_High blood pressure_2017 (PDF, 200 KB)
Heart Health_Station D_Patient Handouts_2017 (DOCX, 130 KB)
Diabetes Awareness Event
Diabetes Awareness_Participant Guide_2017 (PDF, 170 KB)
Diabetes Awareness_Passport_2017 (DOCX, 20 KB)
Diabetes Awareness_Supply List_2017 (DOCX, 20 KB)
Diabetes Awareness_Station B_Sugar regulation_2017 (PDF, 310 KB)
Diabetes Awareness_Station B_Complications_2017 (PDF, 1.7 MB)
Diabetes Awareness_Station B_DM T1versusT2_2017 (PDF, 140 KB)
Diabetes Awareness_Station B_T2 lock and key_2017 (PDF, 260 KB)
Diabetes Awareness_Station C_CANRISK_2017 (PDF, 410 KB)
Diabetes Awareness_Station C_ScreeningDiagnosis_2017 (PDF, 530 KB)
Diabetes Awareness_Station D_CANRISK_2017 (PDF, 410 KB)
Diabetes Awareness_Station D_Patient Handouts_2017 (DOCX, 90 KB)
Kidney Health Event
Kidney Health_Participant Guide_2019 (DOCX, 50 KB)
Kidney Health_Passport_2019 (DOCX, 110 KB)
Kidney Health_Supply List_2019 (DOCX, 20 KB)
Kidney Health_Station B_Kidney Anatomy 2019 (PNG, 80 KB)
Kidney Health_Station B_Kidney Function 2019 (JPG, 340 KB)
Kidney Health_Station D_eGFR 2019 (DOCX, 10 KB)
Kidney Health_Station D_Patient Handouts 2019 (DOCX, 10 KB)
Kidney Health_Feedback Survey Sample Questions 2019 (DOCX, 20 KB)
Group Appointments
How-To Guide for Group Appointments (PDF, 260 KB)
Migraines
Migraine Session 1 Slide Deck (PPTX, 9.1 MB)
Migraine Session 2 Slide Deck (PPTX, 3.6 MB)
Migraine Session 3 Slide Deck (PPTX, 7.0 MB)
Migraine Pharmacist and Patient Resources (DOCX, 20 KB)
Chronic Pain
Chronic Pain Session 1 Slide Deck (PPTX, 7.6 MB)
Chronic Pain Session 2 Slide Deck (PPTX, 900 KB)
Chronic Pain Session 3 Slide Deck (PPTX, 2.3 MB)
Chronic Pain Pharmacist and Patient Resources (DOCX, 30 KB)
Parkinson's Disease
Parkinson's Disease Session 1 Slide Deck (PPTX, 33.3 MB)
Parkinson's Disease Session 2 Slide Deck (PPTX, 11.0 MB)
Parkinson's Disease Session 3 Slide Deck (PPTX, 1.3 MB)
Parkinson's Disease Pharmacist and Patient Resources (DOCX, 20 KB)
Opioid Stewardship Collaborations
Background Information
Collaboration Overview (Georgia Straight article; Storyboard (PDF, 720 KB))
Opioid Stewardship in Action (PDF, 380 KB)
Operational Resources
Workflow Overview (PPTX, 60 KB)
Information for Patients Handout (DOCX, 30 KB)
Referral Form (DOCX, 30 KB)
Notice of Appointment (DOCX, 40 KB)